Thomas Bryant Richardson in Russellville - Pediatric Dentistry
Thomas Bryant Richardson - NPI 1053486134
Thomas Bryant Richardson is a Pediatric Dentistry in Russellville, Arkansas. Thomas Bryant Richardson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Thomas Bryant Richardson is 1053486134. The last update date is 2007-07-09.
Thomas Bryant Richardson's current location address is 1610 W C Pl, Russellville, Arkansas. You can contact this provider via phone number 4799688338 and fax number 4799681688. The mailing address for Thomas Bryant Richardson is 1610 W C Pl, Russellville, Arkansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Thomas Bryant Richardson |
|---|---|
| Address | 1610 W C Pl, Russellville, Arkansas |
| Phone Number | 4799688338 |
| Fax Number | 4799681688 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1053486134 |
|---|---|
| Provider Enumeration Date | 2006-11-22 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 1610 W C Pl |
|---|---|
| City | Russellville |
| State | Arkansas (AR) |
| Post Code | 728012705 |
| Phone Number | 4799688338 |
| Fax Number | 4799681688 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 3422 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 150768608 | AZ | -- | |
| 1593213 | AR | UNITED CONCORDIA PROV # | |
| 5X544 | AR | BLUE CROSS PROV # |
Post Comment/ Review Below
What is the unique identifier code issued to Thomas Bryant Richardson by the Centers for Medicare & Medicaid Services?
The Thomas Bryant Richardson has been assigned the NPI (National Provider Identifier) 1053486134. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Thomas Bryant Richardson's physical address?
The Thomas Bryant Richardson is physically located at 1610 W C Pl, in the city of Russellville, AR, with the postal code 728012705.
What is Thomas Bryant Richardson's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Thomas Bryant Richardson's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Thomas Bryant Richardson receive the assignment of its 1053486134 from the Centers for Medicare & Medicaid Services?
The Thomas Bryant Richardson was issued its 1053486134 by the Centers for Medicare & Medicaid Services on 2006-11-22.
As of what date were the details related to Thomas Bryant Richardson most recently updated or revised?
The information pertaining to Thomas Bryant Richardson, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-09.